Dr. Birinder Narang MBBS CCFP Profile picture
Dec 20, 2021 10 tweets 7 min read Read on X
1/ #COVIDVaccine in Age 5-11 - Dec 13 - @CDCgov

Committed to sharing data as I understand it, both positives & negatives so you can make your informed decisions.

Lots of good, some to keep an eye on.

Read through.

#COVID19BC
#BCPoli #CDNPoli
2/ #COVIDVaccine Age 5-11 - V-Safe & VAERS

Data from both V-Safe (@CDCgov smart phone monitoring) & VAERS systems in the States here, looking at trends.

Majority white populations from V-Safe.

Data for Dose 1 & 2 presented.
3/ #COVIDVaccine Age 5-11 - V-Safe Reactions

Summary of health impact shows: ~1-2% needed some type of medical care post vaccination.

~50-60% had some injection site reaction (mostly pain) as expected for most shots.
4/ #COVIDVaccine Age 5-11 - V-Safe Summary

Summary below showed that the local and systemic reactions were reported at similar frequency as the trials.

Most symptoms were:
Mild-moderate
0-2 day post vaccine &
Transient in nature.
5/ #COVIDVaccine Age 5-11 - VAERS

Looking at > 7 Million doses, (~5.1 Million First Doses)

Median age 9.

3,233 reports submitted as of Dec 10th.
6/ #COVIDVaccine - Age 5-11 - VAERS

Also most cases were from non-Hispanic Whites, or unknown, not reported.

Highlighting this as this could be due to many reasons including access, understanding of systems in place for reporting etc.
7/ #COVIDVaccine - Age 5-11 - Adverse Events

The MOST common adverse events were "Incorrect dose administered", then no adverse event??? & "product preparation issue". 😟😟

Most common symptoms in serious VAERS reports were: Fever, vomiting & chest pain. (11 reports).
8/ #COVIDVaccine - Age 5-11 - Deaths

While these are still being investigated, here is some info about deaths that were submitted.

Both were female, 5 & 6 yo, with significant medical conditions such (Cerebral Palsy).

Cannot draw any conclusions from this, under review.
9/ #COVIDVaccine - Age 5-11 - Myocarditis

14 reports of myocarditis in VAERS,

8 reports met @CDCgov working case definition for myocarditis, (6 after dose 2).

Remember, this is early data & 8 cases/7 million vaccines given.

Too early to say causality vs background rate.
10/ #COVIDVaccine - Age 5-11 - What We Know

7.1 Million doses given (Does 1+2) Total.

Majority reports (97%) non serious.

Most common adverse events = vaccination errors & symptoms seen in clinical trials.

8 reports meeting Myocarditis with MILD clinical course.

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More from @BirinderNarang

Feb 16, 2022
1/ Following up on this with a few things.

Quick update on what I read on South Africa & some reflections on Denmark as many people have had questions/comments about it.

We continue to do a disservice to South Africa by not recognizing their experience.

#COVID19
#cdnpoli
2/ South Africa - Hospitalizations

Peaked at ~10K in mid December during Omicron surge, now down to 1500ish.

From the very beginning their brilliant physicians would tell us, this is behaving differently.

Our Western arrogance refused to acknowledge this reality.
3/ South Africa - Critical Care

In a country of 60 Million there are currently 374 people on Oxygen and 124 who are ventilated (From #COVID19)
Read 10 tweets
Feb 15, 2022
1/ BC: "Ensuring Balance in Easing Restrictions"

Today BC outlined their approach to phased re-opening.

Starting tomorrow night with removing capacity restrictions at 11:59 PM & reviewing masks/vaccine card in the next 1-2 months.

#COVID19BC
#BCPoli
2/ Principles Driving Next Steps

Focusing on:

Response: Immunization, self management, protecting those most at risk

Recovery: Rescind restrictions + adopt sustainable strategies

Readiness: Prepare for ongoing waves & troughs

"Shifting to Sustainable"
3/ Goals & Tools

Goals: Minimize deaths/serious illness, protect system, minimize societal disruption

Tools: Endemic Management (that's essentially what the list is) including: vaccines, surveillance, individual driven decisions, managing high-risk out breaks & treatment
Read 10 tweets
Feb 15, 2022
1/ Reopening: #COVID19BC

Loosening of restrictions are expected to be announced today.

Sure to be some backlash from those who are not ready.

Let's look at the UK, where they removed many restrictions on January 15th. (~ 1 month ago)

Declines across the board.

#BCPoli
2/ UK Patients admitted to hospital.

Daily numbers of patients admitted to hospital (Don't think this distinguishes from the "for" or "with")

7 day average was ~2000/day 1 month ago, decreased to ~1300/day (Feb 8th)

Lowest since Pre-Christmas.
3/ UK Hospital Census

Daily count of confirmed COVID-19 patients in hospital.

Was ~19,500 1 month ago, latest numbers ~12,000.
Read 6 tweets
Dec 18, 2021
1/ @VCHhealthcare - 🦠 PCR Result Changes

Reminder:

IF you test NEGATIVE --> don't need to self-isolate, but if you still have respiratory symptoms, stay home until you feel better.

IF you test POSITIVE --> you must self-isolate, but some changes now ➡️➡️

@CDCofBC
#BCPoli ImageImage
2/ Symptoms: Reminder

Key symptoms of COVID-19 include:

• Cough 😷
• Fever/chills🥵
• Shortness of breath/difficulty breathing 🫁
• Loss of taste & smell 👃🏾
• Headaches, muscle aches, fatigue 🤯
• Nausea/Vomiting/Diarrhea 🤢
• Sore Throat 😜

#OmicronBC
#BCPoli
3/ Self-Isolation:

"Do not go to work, school, or to any public places for
7 days from when your symptoms began, OR from your test date if you’re not sure

(10 days for those who are not fully vaccinated)"

- @VCHhealthcare
Read 8 tweets
Dec 12, 2021
1/ #Omicron 🧵

Been a few weeks since we heard of #OmicronVariant

Thought I would look at what we have learned so far, and some questions that remain, using @OurWorldInData & some global reports.

So at peak, South Africa has had ~400% increase in cases.

#COVID19BC
#cdnpoli
2/ #Omicron - South Africa

Can we attribute the rise of cases directly to Omicron?

Looks like the answer is yes.

South Africa cases are 100% Omicron now.
Botswana ~20%.
Canada/UK/USA still low, but increasing.

(Other countries where it has been found for comparison)
3/ #Omicron - What's happening with Delta?

This seems obvious, but just to confirm with the sharp increase in Omicron, there is a concurrent steep decline of #DeltaVariant as it is displaced.

This makes us all tense as we still have a lot to learn, but it's not all doom & gloom
Read 15 tweets
Dec 9, 2021
1/ Grassroots Canadian Impact

Been feeling a bit demoralized lately (as my tweets likely indicate).

This beacon of light is rejuvenating.

Here's a summary of our massively successful @ThisisOursShotCA campaign that has helped us be #TogetherAgain

Thank you.
#COVID19
#cdnpoli Image
2/ Townhalls

We hosted 8 @thisisourshotca Townhalls with 7 influential hosts & 30 leading national medical experts along with many partner townhalls.

Total of 4.2 Million impressions with 3.1 Million views on @Meta answering common questions & doing some quality myth busting. Image
3/ Power of the People

We were supported by the amazing Dr. @wick_22 as one of our leading ambassadors and true Canadian Icon @VancityReynolds to help launch & support the campaign.

Along w/ other amazing Canadians such as @SarahMcLachlan @MichaelBuble @Cmdr_Hadfield & more Image
Read 10 tweets

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